Organization
FARMACIA CDT TMG MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALDEMAR R RIVERA M.D. (MEDICAL DIRECTOR)
(787) 846-6890
Entity
Organization
Contact information
Practice address
1 CALLE TOMAS DAVILA, BARCELONETA, PR 00617-2798
(787) 846-6890
(787) 846-5458
Mailing address
PO BOX 359, BARCELONETA, PR 00617-0359
(787) 846-6890
(787) 846-5458
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
09F2484
PR
Other
Enumeration date
04/02/2007
Last updated
06/10/2008
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